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St David's Medical Center: what a joint replacement costs

Austin, TX 78705 · CMS Certification Number 450431. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,747
Medical Park Tower Surgery Center LLC, same ZIP
Outpatient here
$11,473
Medicare allowed amount, 717 cases, APC 5115
Inpatient here
$17,416
Avg total payment (incl. patient share), 43 Medicare stays, MS-DRG 470

Medicare prices at St David's Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,416$205,59911.8×$11,473
Shoulder replacement———$16,369
Hip replacement after a fracture (DRG 522)$15,077$173,04011.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,8181.3×$14,382–$41,65220
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS TX$41,6522.4×1
Covenant Management Systems$34,4952.0×1
Cigna$32,2721.9×1
Evry Health$26,5731.5×1
Curative Administrators$26,3261.5×1
MODA Health$26,1081.5×1
Harbor Health Team$25,4131.5×1
Healthcare Highways (rental network)$24,2191.4×1
Seven Corners$24,1051.4×1
Nomi Health$23,9671.4×1
Vista 360$23,4071.3×1
UnitedHealthcare$22,2291.3×1
Sendero$20,9951.2×1
Shared Health$18,6621.1×1
American Health Plan of Texas$16,7181.0×1
Oscar$16,5060.9×1
Imperial Insurance$16,4850.9×1
Aetna$15,7990.9×1
Wesleyan Homes$15,5520.9×1
Humana$15,5130.9×1
Moda$14,3820.8×1

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 625 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay St David's Medical Center for a knee or hip replacement?

In 2024 the average total payment to St David's Medical Center for an inpatient hip or knee replacement stay was $17,416 (MS-DRG 470, 43 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,473 per outpatient case (APC 5115, 717 cases).

What is St David's Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $205,599, 11.8× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near St David's Medical Center?

Yes for Medicare facility payments. Medical Park Tower Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,747 by Medicare for a knee replacement (CPT 27447), $8,669 less than an inpatient stay at St David's Medical Center. Not every patient is a surgery-center candidate.

How does St David's Medical Center compare with other Texas hospitals?

St David's Medical Center's average total payment per Medicare stay is higher than 84% of the 77 Texas hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay St David's Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $22,818 across 20 insurers, ranging from $14,382 to $41,652.